Central Oahu Speech LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CENTRAL OAHU SPEECH LLC

Practice address

3049 Ualena St Ste 411
Honolulu, HI 96819-1946

Phone

(601) 641-9594

Fax

(855) 221-4467

NPI assigned

Feb 20, 2022

Last updated

Aug 4, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cassandra Fisher, M.A., CCC-SLPNPI 1871960278

Title

Owner/Manager

Phone

(601) 641-9594

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cassandra Fisher

  • Speech-Language Pathologist
  • Honolulu, HI
  • NPI 1871960278
  Medicare reassignment NPD Authorized official
• Victoria Mings, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Honolulu, HI
  • NPI 1336855774
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1235884024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967010717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 UALENA ST STE 411",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191946",
            "telephone_number": "601-641-9594",
            "fax_number": "855-221-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OAHU SPEECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-20",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "601-641-9594",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "(855)221-4467",
            "affiliation": "N",
            "endpointDescription": "Fax through SR Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax with referrals or clinical documents",
            "address_1": "99-040 Kauhale St",
            "address_2": "#717",
            "city": "Aiea",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967017230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.